Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Grove At Valhalla Rehab And Nursing Center during CMS and state inspections, most recent first.
Two residents experienced abuse and injury due to another resident's ongoing wandering and entry into their rooms. Despite known behavioral issues and previous interventions such as one-to-one supervision and frequent monitoring, the facility did not maintain or implement effective measures to prevent further incidents, nor did it develop individualized care plans to address the risks. Staff and family concerns were not adequately addressed, and required investigations and interventions were not consistently documented or executed.
A resident's room was repeatedly observed to have a strong odor of urine and body odor, with the source traced to the bare mattress. Despite daily cleaning protocols and environmental rounds by housekeeping and the Administrator, the persistent odor was not addressed, and the Administrator was unaware of the issue.
A resident with multiple medical conditions alleged that a nurse attempted to force medication and restrained their arms, prompting the resident to call 911. The facility did not report the abuse allegation to the state agency within the required two hours and delayed the five-day investigative report submission well beyond the mandated timeframe.
A resident with multiple medical conditions alleged that a nurse held their hands during medication administration, leading to conflicting accounts from staff and the resident. The facility did not complete a thorough investigation as required by policy, failing to resolve inconsistencies, fully document the incident, or interview all involved parties. A superficial abrasion was later found on the resident, but the investigation remained inconclusive due to incomplete follow-up and documentation.
A resident with severe dementia and cerebral ischemia exhibited frequent wandering and disruptive behaviors, leading to a room change that resulted in poor adjustment and continued behavioral issues. The resident's environment lacked personal effects and standard furnishings, and there was no evidence of individualized, person-centered interventions to address their cognitive and behavioral needs. After a hospitalization for altered mental status, a recommended neurology follow-up was not scheduled, and staff did not implement care plan interventions tailored to the resident's preferences or routines.
A resident with dementia and psychosis was prescribed Haldol 2 mg every six hours without a documented indication and without consideration of psychiatric recommendations to reduce the dose. The facility failed to document a risk-benefit assessment, did not update the care plan for antipsychotic use, and did not ensure physician review of psychiatric recommendations, resulting in continued administration of the higher Haldol dose.
A resident with multiple diagnoses, including a fracture and Parkinson's disease, acquired two new pressure injuries on the buttocks, but the care plan was not updated to reflect these changes. Interviews revealed that RNs were responsible for updating care plans, but this was not consistently done. The DON identified the issue and instituted a new plan, but staff had not been fully trained on the new process.
A resident who required assistance for eating was served hot coffee without proper supervision, leading to a burn injury. The CNA reheated the coffee in a microwave and placed it within the resident's reach, resulting in a spill. The facility has since re-instructed staff on food safety and is working on acquiring a machine to safely reheat food items.
Failure to Prevent Resident-to-Resident Abuse and Inadequate Response to Wandering Behaviors
Penalty
Summary
The facility failed to protect residents from abuse and neglect, as evidenced by two separate incidents involving resident-to-resident interactions. In the first incident, a cognitively intact resident with congestive heart failure and chronic obstructive pulmonary disease reported that another resident, who had a history of wandering and cognitive impairment, entered their room at night and touched their leg. Although the incident was reported and a room change was offered, there was no documented evidence that an individualized care plan was developed or implemented to prevent further potential abuse from the wandering resident. In the second incident, a resident with mild cognitive impairment and left-sided weakness sustained an elbow injury while attempting to remove the same wandering resident from their room at night. The injured resident reported fear and began closing their door at night to prevent further intrusions. Documentation showed that the wandering resident had a known history of entering other residents' rooms and required frequent redirection, but interventions such as one-to-one supervision and 30-minute monitoring had been discontinued. Staff interviews confirmed that no effective or consistent interventions were in place to address the wandering behavior or to protect other residents from potential harm. Despite multiple staff and family reports of ongoing wandering and disruptive behavior by the cognitively impaired resident, facility leadership and clinical staff were either unaware of specific incidents or did not implement adequate measures to address the risks. The facility's policies required investigation and intervention for abuse and resident-to-resident altercations, but there was a lack of evidence that these policies were followed or that sufficient steps were taken to ensure resident safety in these cases.
Failure to Maintain Clean and Odor-Free Resident Environment
Penalty
Summary
Surveyors identified that the facility failed to ensure a safe, clean, comfortable, and homelike environment for a resident with dementia, as required by regulation. During multiple observations, a strong odor of stale urine and body odor was detected in the resident's room, with the odor being most pronounced near the bare mattress. The odor persisted even when the resident was not present in the room. According to facility policy, housekeeping staff are responsible for daily cleaning of resident mattresses, and nursing staff are expected to notify housekeeping if additional cleaning is needed. The Administrator, who was temporarily covering housekeeping duties due to the departure of the Housekeeping Director, stated that environmental rounds for cleanliness were performed at least daily but was unaware of the persistent odor in the resident's room.
Failure to Timely Report and Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to ensure that all alleged violations of abuse were reported to the state survey agency within the required timeframes. Specifically, an incident occurred in which a resident with hemiplegia, epilepsy, and chronic obstructive pulmonary disease alleged that a registered nurse held their hands during a medication administration. The resident reported that the nurse attempted to force medication into their mouth, leading to the resident screaming and calling 911. Staff statements indicated that the nurse restrained the resident's arms in response to being hit. The incident was reported to facility administration shortly after it occurred. Despite facility policy requiring notification to the appropriate agencies within two hours of an abuse allegation and submission of a written investigative report within five working days, the facility reported the incident to the New York State Department of Health the following day, exceeding the two-hour requirement. Furthermore, the five-day investigative report was not submitted until 43 days after the incident. The Director of Nursing confirmed that both the initial and five-day reports were sent late and could not provide a reason for the delay.
Failure to Conduct Thorough Abuse Investigation
Penalty
Summary
The facility failed to conduct a thorough investigation into an alleged abuse incident involving a resident with hemiplegia, epilepsy, and chronic obstructive pulmonary disease. On the date of the incident, the resident alleged that a registered nurse held their hands during medication administration, and conflicting accounts were provided by staff and the resident. The facility's policies required a comprehensive review of all events, interviews with all involved parties, and complete documentation, but these steps were not fully carried out. The initial incident report lacked details on who assessed the resident for injuries, and there was no immediate documentation of a head-to-toe assessment or progress note by the unit manager after the event. Multiple staff statements and the resident's account presented inconsistencies regarding the sequence of events and the actions taken by the nurse. The nurse reported being struck by the resident and attempting to restrain the resident's arms, while the resident claimed the nurse tried to force medication and held their hands. A superficial abrasion was later found on the resident's wrist, but the investigation did not resolve the discrepancies in the accounts. The facility's report to the state health department noted several versions of the story and ultimately concluded the findings were inconclusive. When requested, the facility was unable to provide additional documentation or evidence of further interviews to clarify the inconsistencies or to explain why the investigation was inconclusive. Interviews with staff and the resident conducted during the survey revealed lapses in memory and a lack of follow-up questioning after the incident. The facility did not meet its own policy requirements for a thorough and complete investigation of the alleged abuse, as not all involved parties were interviewed and not all events were fully documented.
Failure to Provide Person-Centered Dementia Care and Timely Neurology Follow-Up
Penalty
Summary
A deficiency was identified when a resident diagnosed with severe dementia and cerebral ischemia did not receive appropriate treatment and services to maintain their highest practicable well-being. The resident exhibited frequent wandering, entered other residents' rooms, and engaged in behaviors that disrupted others, including tampering with medical equipment. In response, the facility moved the resident to a private room at the end of the hallway, but the resident had difficulty adjusting, continued to wander, and often returned to their previous room, sometimes dressing in other residents' clothing. The resident's new room was bare, lacking standard furniture and personal effects, and there was no evidence of person-centered interventions to personalize the environment or address the resident's cognitive and behavioral needs as outlined in the care plan. Following a hospitalization for altered mental status, hospital discharge instructions recommended a neurology follow-up for dementia management within one to two weeks. However, there was no documented evidence that a neurology consult was ordered or scheduled after the resident's return to the facility. Staff interviews confirmed that the resident continued to display dementia-related behaviors, such as wandering and poor sleep, and that interventions were limited to group activities, occasional one-on-one engagement, and attempts to provide tactile stimulation. The resident did not have access to a personal music device, despite documented preferences, and there was no evidence of individualized interventions to address their early morning routines or other specific needs. The interdisciplinary team discussed transferring the resident to a specialized dementia unit, but no facility accepted the resident. Staff and leadership interviews revealed a lack of awareness or implementation of care plan interventions tailored to the resident's habits and preferences. The facility's actions did not align with its own dementia care policy, which required identification of the neurological basis of dementia and development of a resident-centered care plan to maximize quality of life.
Failure to Ensure Drug Regimen Free from Unnecessary Antipsychotic Medication
Penalty
Summary
A deficiency was identified when a resident with diagnoses of cerebral ischemia, dementia without behavioral disturbance, and psychosis was prescribed Haldol 2 mg every six hours without a clearly documented indication and without consideration of psychiatric recommendations to decrease the dosage. The resident's medical records showed that Haldol was initially ordered as needed for psychosis following a hospital discharge, but the order was later changed to a scheduled dose every six hours after the resident exhibited behavioral disturbances. The facility's policy required that psychotropic medications only be prescribed when necessary to treat a specific, diagnosed condition based on a comprehensive review, but documentation did not show that this process was followed. Additionally, the pharmacist flagged the Haldol order as off-label and recommended a risk-benefit assessment, but there was no evidence this was completed. Further, a psychiatry consult recommended reducing the Haldol dosage, but there was no documentation that the physician reviewed or responded to this recommendation. The care plan did not include interventions to address the risks and side effects associated with Haldol use. Observations during the survey period found the resident confused, incoherent, and inappropriately dressed, as well as sleeping in a wheelchair. Interviews with the psychiatrist and medical director revealed a lack of communication and follow-through regarding medication changes, with the medical director unaware of the psychiatrist's recommendation to reduce the Haldol dosage.
Failure to Update Care Plan for Resident with New Pressure Injuries
Penalty
Summary
The facility did not ensure that a resident's Care Plan was reviewed and revised to reflect the resident's changing needs and current status. Specifically, Resident #1 acquired two pressure injuries on the buttocks, and the care plan was not updated to include goals and interventions to promote wound healing. The resident had diagnoses including a fracture of the left femur, malignant neoplasm of the prostate, Parkinson's disease without dyskinesia, and cognitive communication deficit. Despite these conditions, the care plan only documented an existing skin impairment on the left heel and did not reflect the new pressure injuries on the buttocks. Interviews with staff revealed that Registered Nurses were responsible for updating care plans, but this was not consistently done. The Director of Nursing Services acknowledged that care plans were not being updated as needed and had identified this issue during an audit. Although a new plan was instituted where Registered Nurses would initiate care plans and Licensed Practical Nurses would update them, staff had not yet been fully trained on the new process. This lack of timely updates to the care plan led to the deficiency noted in the survey.
Inadequate Supervision and Unsafe Environment for Resident
Penalty
Summary
The facility did not ensure adequate supervision and a safe environment for Resident #1, who required one-person assistance for eating. On 07/19/2023, a Certified Nursing Assistant (Staff #1) served Resident #1 rewarmed coffee from the microwave without providing the necessary assistance or setup. Resident #1, who had a BIMS score indicating intact cognitive function, attempted to pour milk into the coffee, causing it to spill onto their skin and resulting in a blistering burn on the right thigh. The incident report documented that the nurse responded immediately, and the Nurse Practitioner provided new orders for treatment, including zinc oxide and silver sulfadiazine cream for the burn. The care plan was updated to prevent future incidents by ensuring staff would pour milk into the coffee for Resident #1. Interviews with Staff #1 and the Director of Nursing Services revealed that staff were instructed not to rewarm food items and to request new items from the kitchen instead. Staff #1 admitted to reheating the coffee and placing it within Resident #1's reach, despite knowing the coffee was hot. The Director of Nursing Services confirmed that staff had been re-instructed on food safety and the facility was working on acquiring a machine to assist with reheating food items safely. The Director of Nursing Services emphasized the importance of following residents' care plans and nursing instructions to prevent such incidents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Valhalla
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Steven And Alexandra Cohen Ped L T C Pavilion | 0.5 mi | — | 0 | 0 |
| The Knolls | 1.3 mi | — | 0 | 0 |
| Martine Center For Rehabilitation And Nursing | 3.2 mi | — | 15 | 0 |
| Kendal On Hudson | 3.5 mi | — | 0 | 0 |
| White Plains Center For Nursing Care, L L C | 3.7 mi | — | 29 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.